{"componentChunkName":"component---common-build-question-tags-template-js","path":"/question-tag/pain/6","result":{"data":{"allQuestion":{"edges":[{"node":{"id":"Question_11757-markdown","title":"Are there differences in REM sleep between CBD and THC?","slug":"are-there-differences-in-rem-sleep-between-cbd-and-thc","content":"\"I am aware that marijuana suppresses REM sleep, which is something that I have missed incredibly, so after learning of this I stopped smoking entirely and have been dreaming nightly. I am a legitimate medicinal marijuana user, however, and my arthritis, aches and pains have come back. With that being said, I am trying to find research on (but have had no luck) whether or not CBD oil would also suppress REM sleep, or if using that would allow me to figuratively have my cake and eat it too? I want to be able to continue dreaming lucidly, vividly, and nightly as I currently am, but I also don't want to have to deal with the pain. Thank you for your time.\"\n_____________________\nHello,\nAccording to one study, similar to THC, CBD was shown to reduce the time spent in REM sleep. The study also suggested that CBD reduced stage 4 sleep. \nhttps://www.sciencedirect.com/science/article/pii/S0014579306008155\nHowever, in order to better understand how CBD affects your own ability to dream, I recommend that you consume pure CBD at the same time you would take your \"standard\" cannabis. If you still don't dream much, try taking the dose earlier, so that the CBD and or/THC has more time for elimination. \n\n\ndrkim\n_____________________\nThe effect of cannabis on REM sleep duration is well established, and most regular cannabis users report increased dreaming upon stopping their cannabis use.  I agree with Dr. Kim that you should just go ahead and try pure CBD to see if it affects your dreaming.  Here is some evidence that CBD does not, in fact, disturb the normal sleep cycle https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5895650/   \nOf course, I also want to note that I'm not aware of any adverse health effects attributable to the shortening of REM sleep in regular cannabis users.  There is a potential health consequence of REM deprivation, but no evidence at all that the changes observed with cannabis use in any way constitute 'deprivation.'  For some people (eg PTSD patients) this reduction in dreaming is, in fact, experienced as therapeutic, especially when subjectively compared with their former sleep quality.  \n\ndrelkind","image":null}},{"node":{"id":"Question_11748-markdown","title":"Is this a good choice for pain relief?","slug":"is-this-a-good-choice-for-pain-relief","content":"","image":null}},{"node":{"id":"Question_11739-markdown","title":"What are the strongest marijuana strains out there? ","slug":"what-are-the-strongest-marijuana-strains-out-there","content":"\"I'm interested in knowing what strains have the highest THC percentage. I have chronic pain and need really strong cannabis to help me get through the day.\"\n_____________________\nIt depends on what effect you are looking to get, and also the types of strains and the exact high THC percentages that you prefer. From the symptoms that you are describing, the strongest marijuana strains I would recommend would mainly be heavy indica strains. If you prefer more flavorful marijuana strains I would suggest the various Gelato strains, GSC, Sunset Sherbet, Grand Daddy Purple, Purple Punch, Cherry Pie, Afghani, etc. However if you prefer less flavorful strains that still have high THC percentage, I would recommend Gorilla Glue #4, the various OG strains, Kush based strains, God's Gift, Northern Lights, etc. \n\nnsavelli\n_____________________\nIf getting enough THC were all that is needed you could just smoke or eat more, rather than try different strains. But the differences in effects between cannabis varieties seems to have a lot do with what else is in the plant, particularly the amounts of the many other cannabinoid compounds and, perhaps even more importantly, the amounts of the various essential oils (terpenes). It has been observed that pain relief is often best with whole-plant preparations in order to take advantage of the interaction of all the active compounds in cannabis working together, which is sometimes termed the \"entourage effect\" (try a search on that term). The Indica dominant varieties are often experienced as more sedating in their effects, and for some people this might contribute to better pain relief.  But sedation is not always appropriate for 'getting through the day.”  There is no variety of cannabis that has been shown to be 'better' for pain relief.  That effect is highly individualized.  Many patients who try various hybrid strains will find one or two whose effects they prefer to the others, and use that clue to try related strains until they discover what seems most helpful for their symptoms.  This is why I always suggest patients persevere in their exploration if the first cannabis they try doesn't provide as much relief as they are looking for.  I wish you success in your quest \n\ndrelkind\n_____________________\n \nAfter doing some research, I’ve found that the strongest marijuana strains consistently have over 20% THC content, and have been known to test upwards of over 30% THC. Durban Poison, Chemdawg, Godfather OG, and Strawberry Banana are some of the strains that I’ve found with the highest THC percentage. I’ve tried most of these strains and I must say that I agree with these being listed as some of the strongest marijuana strains. As long as you are located in our service area, you can purchase Chemdawg through us. \n\nYou can use this link to view more info: https://www.hellomd.com/products/5af63e661bf83e0007fdd9d1/chemdawg\n\nRyanG","image":null}},{"node":{"id":"Question_11735-markdown","title":"What is best non-smoked remedy for arthritis pain. ","slug":"what-is-best-non-smoked-remedy-for-arthritis-pain","content":"\n_____________________\nHello,\nSeveral studies suggest that cannabis can help alleviate the  pain of arthritis. And while cannabis research has historically focused  on THC, synthetic cannabinoids, or our own naturally occurring  cannabinoids (endocannabinoids), there is an evergrowing body of research regarding the potential medicinal benefits of CBD.\n\nIn  fact, a recently published study concluded that \"topical CBD application has therapeutic potential for relief of arthritis  pain and inflammation\"\nhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4851925/\n\nIn  a study with exciting implications -- this time performed on mice  with artificially induced arthritis -- researchers concluded that \"CBD,  through its combined immunosuppressive and anti-inflammatory actions,  has a potent anti-arthritic effect\" which may even \"block the  progression of arthritis.\"\nhttps://www.ncbi.nlm.nih.gov/pubmed/10920191\n\nWhile there is no \"best\" product, for daytime use I would recommend a high CBD/ low THC product. And if there are no objections to psychoactive effects, a product with  higher levels of THC for PM relief.\nFor example:\n1. https://www.cbd.org/products/cbd-sublingual-spray 18:1 OR https://treatwellhealth.com/products/wellness-and-balance-blends/ (the \"Balance Blend\")for daytime \n2. http://truefarma.com/product/sweet-releaf-extra-strength-2oz/ apply as needed.\n3. https://www.cbd.org/products/cbd-chocolate (2:1) at nighttime\nPlease consult with a physician before starting any regimen.\n\ndrkim","image":null}},{"node":{"id":"Question_11727-markdown","title":"What would be the best to use for pain relief for my herniated discs and compressed nerves in my spine. ","slug":"what-would-be-the-best-to-use-for-pain-relief-for-my-herniated-discs-and-compressed-nerves-in-my-spine","content":"\n_____________________\n Hello!  Extensive clinical research has shown that a 1:1 CBD:THC ratio is most effective for neuropathic pain. CBD is a potent anti-inflammatory agent and THC is a great analgesic agent. \n\ntatiananp","image":null}},{"node":{"id":"Question_11724-markdown","title":"herniated disc pain, best product in las vegas","slug":"herniated-disc-pain-best-product-in-las-vegas","content":"","image":null}},{"node":{"id":"Question_11720-markdown","title":"I have SLE Lupus and with that I have several issues including joint pain do I qualify for medical cannabis?","slug":"i-have-sle-lupus-and-with-that-i-have-several-issues-including-joint-pain-do-i-qualify-for-medical-cannabis","content":"\"I reside in NYC\"\n_____________________\nHello, \nAs an anti-inflammatory, immunomodulator and analgesic, SLE should most certainly be an accepted condition in NYC. However, very unfortunately, NY has some catching up to do in regards to the medicinal value of cannabis. The following are the only conditions accepted as of yet: \nCancer, positive status for Human Immunodeficiency Virus (HIV) or Acquired Immune Deficiency Syndrome (AIDS), Amyotrophic  Lateral Sclerosis (Lou Gehrig’s Disease), Parkinson’s Disease, Multiple Sclerosis, damage to the nervous tissue of the spinal cord with objective neurological indication of intractable Spasticity, Epilepsy, Inflammatory Bowel Disease (IBD), ulcerative colitis, Crohn’s Disease, Chronic Inflammatory Demyelinating Polyneuropathy, neuropathies and Huntington’s Disease. \n\nHowever,  chronic pain was recently added to the covered conditions. Accordingly,  I see no reason why SLE would not qualify for an approved medical  cannabis recommendation in NYC.\n\ndrkim\n_____________________\nHowever, chronic pain was recently added to the covered conditions. Accordingly, I see no reason why SLE would not qualify for an approved medical cannabis recommendation in NYC.\n\ndrkim\n_____________________\nHello, \nAs an anti-inflammatory, immunomodulator and analgesic, SLE should most certainly qualify you for medical cannabis. However, in NYC, cannabis treatment has only been approved for the following conditions:  \nCancer, positive status for Human Immunodeficiency Virus (HIV) or Acquired Immune Deficiency Syndrome (AIDS), Amyotrophic  Lateral Sclerosis (Lou Gehrig’s Disease), Parkinson’s Disease, Multiple Sclerosis, damage to the nervous tissue of the spinal cord with objective neurological indication of intractable Spasticity, Epilepsy, Inflammatory Bowel Disease (IBD), ulcerative colitis, Crohn’s Disease, Chronic Inflammatory Demyelinating Polyneuropathy, neuropathies and Huntington’s Disease. \n\nFortunately, chronic pain has recently been added to the list of approved conditions. Accordingly, I see no reason why SLE would not qualify you as a medical cannabis patient. \n\ndrkim\n_____________________\n  \nLike Dr. Kim already mentioned in New York state SLE is not a qualifying condition. However, you may be able to qualify under chronic pain.  Chronic pain according to New York State DOH is defined as pain any severe debilitating pain that the practitioner determines degrades health and functional capability, that has intolerable side effects, that has lasted for or is expected to last for at least three months, and other modes of therapy that has failed to treat or that cannot be treated by another therapy because it would be harmful. You can schedule an appointment with one of our New York providers to see if you qualify. \n\nhelenanp","image":null}},{"node":{"id":"Question_11713-markdown","title":"Is it true that you have to be completely off pain meds for 3 months to get licensed for a card","slug":"is-it-true-that-you-have-to-be-completely-off-pain-meds-for-3-months-to-get-licensed-for-a-card","content":"\n_____________________\nNo, that is not true.  There might be some individual clinician or organization with a rule like that, but many patients find medicinal cannabis helpful in transitioning off pain meds and such a rule would be misguided in my opinion.     \n\ndrelkind","image":null}},{"node":{"id":"Question_11709-markdown","title":"I have nephropathy in my feet, is there a produce to reduce the pain?","slug":"i-have-nephropathy-in-my-feet-is-there-a-produce-to-reduce-the-pain","content":"\n_____________________\nHello! Cannabidiol or CBD which is derived from cannabis, can help neuropathic pain. It could be as simple as applying a topical CBD lotion or salve on the feet when you have pain. It shouldn't cause any psychoactivity or cognitive changes. I would try using cannabis externally first and then taking an internal cannabis product if you need additional relief. Best of luck!\n\ndrjacquelynlew\n_____________________\n Are you suffering from cancer,seizure,Anxiety,Panic attack,Depression, diabetes, glaucoma, headache, insomnia, joint pains, multiply sclerosis, muscle spasms, nausea, etc and need the best strains of medical marijuana and Cbd Oil to help ease your pain?? why not try out our wide range of products today at:(tplug05@gmail.com)cheers!! \n\nalison leton\n_____________________\nI concur with Dr. Lew in terms of trying out topical cannabis products.  If there are additional problems such as sleep, you might be best served with edible products which are documented as having a longer duration of effect.  The medical literature has studies examining the use of cannabis for neuropathic pain but all these studies use THC.  If a CBD trial yields only so-so results, try products that have at least some THC (perhaps something with a CBD:THC ratio of 4:1 or 3:1, or even 2:1 or 1:1 ratios if you willing to try it out) as the entourage effect of using both CBD & THC on the endocannabinoid receptor (EC1) may produce a synergistic effect better than CBD or THC on their own.\n\ndrpark","image":null}},{"node":{"id":"Question_11684-markdown","title":"I have severe intestinal pain from having celiac disease, would CBD or THC help with this?","slug":"i-have-severe-intestinal-pain-from-having-celiac-disease-would-cbd-or-thc-help-with-this","content":"\n_____________________\n  \nCeliac disease is an autoimmune disorder that can occurs when an individual cannot digest gluten. This leads to symptoms like abdominal bloating, pain, gas, diarrhea, pale stools, and weight loss. THC helps to slow down the digestion and movement of food in the digestive tract. While CBD works with CB2 receptors in the gut, to help against autoimmune attacks on the small intestine caused by consuming gluten. In combination they work best, so you would need both.\nYou can read more here: \nhttps://www.hellomd.com/health-wellness/57cdd78ea5b652000797f8de/marijuana-provides-relief-for-celiac-disease\n\nhelenanp\n_____________________\nHello,\nI agree with helenanp. Anatomical, physiological and pharmacological studies have shown that the endocannabinoid system is widely distributed throughout the gut, with regional variation and organ-specific actions. It is involved in the regulation of food intake, nausea and emesis, gastric secretion and  gastroprotection, GI motility, ion transport, visceral sensation,  intestinal inflammation and cell proliferation in the gut. Cellular  targets have been defined that include the enteric nervous system,  epithelial and immune cells. Activating cannabinoid receptors has been demonstrated to inhibit gastrointestinal fluid secretion and  inflammation in animal models. Studies indicate that cannabinoids in marijuana bind with cannabinoid receptors in the digestive tract,  especially the small and large intestine. Furthermore, both CBD  and THC have been shown to reduce the inflammatory response in patients with autoimmune diseases, such as multiple sclerosis, lupus and celiac  disease; both CBD and THC have also been shown to help alleviate pain.  However, it is mainly THC, rather than CBD, that helps alleviate nausea and stimulate the appetite. \n\ndrkim\n_____________________\n \nAre you suffering from cancer,seizure,Anxiety,Panic attack,Depression,  diabetes, glaucoma, headache, insomnia, joint pains, multiply sclerosis,  muscle spasms, nausea, etc and need the best strains of medical  marijuana and Cbd Oil to help ease your pain?? why not try out our wide  range of products today at:(tplug05@gmail.com)cheers!!  \n\nalison leton","image":null}},{"node":{"id":"Question_11676-markdown","title":"I would like to know if topical or internal cbd is better for pain and inflammation.","slug":"i-would-like-to-know-if-topical-or-internal-cbd-is-better-for-pain-and-inflammation","content":"\"Also would like recommentation as to what product may be the best.\"\n_____________________\nHello, \nIn most instances, consumed CBD would more effectively reduce pain and inflammation than would topical preparations. Additionally, when searching for a topical product, I recommend you purchase one with both THC and CBD; negligible amounts of THC enter the circulation when applied topically.\nHere are three quality products to consider:\nhttps://drkerklaan.com/products/pain-cream\nhttp://truefarma.com/product/sweet-releaf-extra-strength-2oz/\nhttp://sensiproducts.com/product/sensi-caps-cbd-softgels-full-spectrum-251/\n\nHowever, you should also consider ingested products with at least a small amount of THC; THC works in synergy with CBD to provide superior pain relief. The following products (at typical doses) shouldn't cause perceptible psychoactive effects:\nhttps://www.cbd.org/products/cbd-sublingual-spray (18:1)\nhttps://www.cbd.org/products/cbd-chocolate (18:1)\n\n\ndrkim\n_____________________\n\"There  are .25mg total cannabinoids per drop in each 150mg and 300mg  tincture  and there are .75mg total cannabinoids per drop in each 900mg   tincture.  There are ~40 individual drops in each ml/dropper.\"\nBased on the above, I believe the Wellness Blend would have the following:\n For the 150mg and 300mg bottles of the \"Wellness Blend\" \n- 10 drops (1/4 of the dropper) would contain\n         0.75mg CBD, 0.75mg THCA, 0.75mg CBDA, 0.25mg THC\n- 40 drops (1 full dropper) would contain\n        3mg CBD, 3mg CBDA, 3mg THCA, 1mg THC\n*40 drops (1 full dropper) would be a reasonable daytime dose for most people.\n\nFor the 900mg bottles of the \"Wellness Blend\"\n- 10 drops (1/4 of the dropper) would contain \n            2.25mg CBD, 2.25mg THCA, 2.25mg CBDA, 0.75mg THC\n- 40 drops (1 full dropper) would contain\n           9mg CBD, 9mg CBDA, 9mg THCA, 3mg THC \n*10 to 15 drops would be a reasonable daytime dose for most  people.\n\nPlease consult with a physician before starting any cannabis treatment regimen. \n\n\ndrkim\n_____________________\n \nAre you suffering from cancer,seizure,Anxiety,Panic attack,Depression,  diabetes, glaucoma, headache, insomnia, joint pains, multiply sclerosis,  muscle spasms, nausea, etc and need the best strains of medical  marijuana and Cbd Oil to help ease your pain?? why not try out our wide  range of products today at:(tplug05@gmail.com)cheers!!  \n\nalison leton","image":null}},{"node":{"id":"Question_11672-markdown","title":"Have nerve damage from a laparoscopic rotator cuff surgery 13 years ago.  Does CBD oil help with nerve pain?","slug":"have-nerve-damage-from-a-laparoscopic-rotator-cuff-surgery-13-years-ago-does-cbd-oil-help-with-nerve-pain","content":"\n_____________________\nHello,\nCannabis helps thousands of people  deal with neuropathic pain. In fact, in New York -- which has only  approved medical cannabis for a limited number of conditions -- 41% of  medical cannabis patients are being treated for neuropathic pain (by  far the most commonly treated condition).\nhttps://neuropathyjournal.org/cannabis-use-neuropathic-pain-part-1-of-3/\n\nUnfortunately,  the research regarding isolated CBD and neuropathic pain is sparse.  However, in a study published in the British Journal of Pharmacology found that chronic administration CBD prevents  paclitaxel-induced neuropathy (PAC) (paclitaxel is a common chemotherapy agent which often causes neuropathic pain). Interestingly, they found that the cannabinoid receptors CB1 and CB2 were not involved in preventing the  pain from developing. Rather, they concluded that CBD is protective against PAC-induced neurotoxicity mediated in part by the 5-HT(1A) receptor system; modulation of the 5-HT(1A) receptor system is  how many of the antidepressant drugs are thought to affect neuropathic pain.\nhttps://www.ncbi.nlm.nih.gov/pubmed/24117398\n\ndrkim\n_____________________\nHowever, there is a significant amount of research which has  shown that an oromucosal spray with equal parts of THC and CBD can  effectively reduce neuropathic pain. \"Sativex®, a cannabis derived oromucosal spray containing equal proportions of THC (partial CB1 receptor agonist ) and cannabidiol (CBD, a non-euphoriant, anti-inflammatory analgesic with CB1  receptor antagonist and endocannabinoid modulating effects) was  approved in Canada in 2005 for treatment of central neuropathic pain in  multiple sclerosis, and in 2007 for intractable cancer pain. Numerous  randomized clinical trials have demonstrated safety and efficacy for  Sativex in central and peripheral neuropathic pain, rheumatoid arthritis  and cancer pain.\"\nhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2503660/\n\nAs such, I would likely recommend a 1:1 oromucosal spray such as \n https://www.cbd.org/products/cbd-sublingual-spray\nand a 50/50 cream such as\nhttps://drkerklaan.com/products/pain-cream\n\n*Please consult with a physician before starting medical cannabis treatment regimen\n\n\ndrkim\n_____________________\n \nAre you suffering from cancer,seizure,Anxiety,Panic attack,Depression,  diabetes, glaucoma, headache, insomnia, joint pains, multiply sclerosis,  muscle spasms, nausea, etc and need the best strains of medical  marijuana and Cbd Oil to help ease your pain?? why not try out our wide  range of products today at:(tplug05@gmail.com)cheers!!  \n\nalison leton","image":null}}]}},"pageContext":{"limit":12,"skip":60,"numPages":54,"currentPage":6,"id":5599,"name":"Pain","slug":"pain","country":"US"}},"staticQueryHashes":["3949754563","4179947113","4202924991"]}